| NPI | 1003984857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 9953) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 158067) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-01-18 |