| NPI | 1902997943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0100498) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 240935) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2026-07-22 |