| NPI | 1811079593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 309802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A91412) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-07-13 |