| NPI | 1053502567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 238864-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238864-1) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2009-08-21 |