| NPI | 1295701753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 233027) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 49929) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2016-06-01 |