| NPI | 1427173301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 137340) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 230697) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-09-09 |