| NPI | 1962581926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH RT 1399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245741) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-07-06 |