| NPI | 1891877403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC 011720079) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 189342) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-11-05 |