| NPI | 1588645816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0069319) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 205743) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2018-03-26 |