| NPI | 1639215304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 133030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 133030) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-01-11 |