| NPI | 1639324072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 50978) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 180912-1) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2011-04-11 |