| NPI | 1447352745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 179188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 048304) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-12-14 |