| NPI | 1811965148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 276486) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 238594) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2024-10-17 |