| NPI | 1518193457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 263014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 201201552) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2017-04-11 |