| NPI | 1467431973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 218381-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 041757) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2013-10-15 |