| NPI | 1215247895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 277840-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A120106) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2018-06-14 |