| NPI | 1821001728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 209918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 036747) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-01-31 |