| NPI | 1851898241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-51479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 311415) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2023-09-01 |