| NPI | 1275706160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 290035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL me117482) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2017-12-20 |