| NPI | 1063420941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 024327) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 1474921) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |