| NPI | 1598965766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 256286) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A97715) |
| 208000000X Pediatrics (Licence: MA 235939) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2011-01-06 |