| NPI | 1992046577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: NY 272301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 272301) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-07-18 |