| NPI | 1265448021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0072497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 60-248131) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-07-17 |