| NPI | 1013007194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 050386) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 234800) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-11-08 |