| NPI | 1225272248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 273928) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 42542) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2015-10-02 |