| NPI | 1467501296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 168888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 14808) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |