| NPI | 1619984689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 134277) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G48449) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-04-24 |