| NPI | 1205051836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 106843-1) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA md014147e) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2010-04-15 |