| NPI | 1679509947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 239929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 239929-1) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2009-03-17 |