| NPI | 1871857763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0016971) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VT 042.0016971) |
| 208000000X Pediatrics (Licence: NY 325366) | |
| 208000000X Pediatrics (Licence: CA A136386) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2025-09-19 |