| NPI | 1952334666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME161087) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 188657-1) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2026-04-27 |