| NPI | 1326022419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 229692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE c10008727) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-11-10 |