| NPI | 1093786832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: NY 168339) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 168339) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-02-13 |