| NPI | 1144281072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH LT-3687) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 164576) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2016-06-16 |