| NPI | 1073650792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 149448) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 1494481) |
| 208D00000X General Practice (Licence: NY 1494481) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-03-14 |