| NPI | 1427230200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 238407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 57048) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2018-10-10 |