| NPI | 1497847545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 61184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 226442) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-08-28 |