| NPI | 1861011231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX W5806) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11794900) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2026-08-03 |