| NPI | 1265456107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 166098) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 040539) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-06-06 |