| NPI | 1932527785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 67989) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.138750) |
| 208000000X Pediatrics (Licence: NY 282501) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2021-10-26 |