| NPI | 1568537090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 51897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 230010) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-04-18 |