| NPI | 1811428469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A185372) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 305032) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-10-04 |