| NPI | 1639277973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 238617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238617) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-11-15 |