| NPI | 1457621088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 233062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A60384) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |