| NPI | 1801943675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C141338) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 228854) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-04-10 |