| NPI | 1568511269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 260587) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN9057) |
| 208000000X Pediatrics (Licence: FL ME101681) | |
| 208000000X Pediatrics (Licence: CA A112694) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-07-11 |