| NPI | 1033352034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 270587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270587) |
| 208000000X Pediatrics (Licence: MA 266069) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 266069) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2017-02-03 |