| NPI | 1144415340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200300125) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 241764) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2015-12-16 |