| NPI | 1598838112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 108377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 34907) |
| 208000000X Pediatrics (Licence: CA A23936) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |