| NPI | 1033132253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 1335221) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC 7038inactive) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |