| NPI | 1548251283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 4505) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 216914) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |