| NPI | 1972692515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 212862) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 212862-1) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-02-21 |