| NPI | 1821095118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-00089) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 178523) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2026-06-24 |