| NPI | 1740327790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D67632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P20266) |
| 208000000X Pediatrics (Licence: NY 258458) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-09-02 |