| NPI | 1497787907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 138717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 138717) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-20 |