| NPI | 1689660201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 241089-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 001909) |
| 208000000X Pediatrics (Licence: NY 241089) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2016-09-30 |