| NPI | 1922461433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 300415-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 300415) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2020-11-24 |