| NPI | 1558565531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 267837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD045550) |
| 208000000X Pediatrics (Licence: CT 045474) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-07-13 |