| NPI | 1306803887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 239311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 239311) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-01-27 |