| NPI | 1316967714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 170003) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NY 170003) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-05-07 |