| NPI | 1851852149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 73310) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 318100) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-01-26 |