| NPI | 1104093038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 003938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01067059A) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2011-11-09 |