| NPI | 1730383514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD162435) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247840) |
| 208000000X Pediatrics (Licence: CT 048320) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-08-13 |