| NPI | 1285920314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 261478) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 261478-1) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-10-11 |