| NPI | 1568548774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 216709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 216709) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 216709) | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 216709) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-04-19 |