| NPI | 1992264998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D94754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D94754) |
| 208000000X Pediatrics (Licence: NY 1956) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-12-04 |