| NPI | 1245293554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NY 189491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 189491) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2011-01-20 |