| NPI | 1154500585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD12604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 241685-1) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2011-12-06 |