| NPI | 1942568597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 009611) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 272551) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2023-11-07 |