| NPI | 1437121480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 249587) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E3959) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-11-28 |