| NPI | 1376683987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 241656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 002754) |
| 208000000X Pediatrics (Licence: NY 252419) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-05-06 |