| NPI | 1265536478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 157851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME94131) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-08 |