| NPI | 1972860385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 279422) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 279422) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-05-23 |