| NPI | 1316902042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY MD237826) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD428753) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-05-06 |