| NPI | 1861770737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A133840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY #390200000X) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-06-22 |