| NPI | 1932527652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 310013) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 132150) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-05-09 |