| NPI | 1184696155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 294283-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD423911) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2019-01-25 |