| NPI | 1699917898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME DO2490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 263450) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2015-10-02 |