| NPI | 1114188240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 054316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 248854) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 54316) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2016-11-09 |