| NPI | 1750304739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 247563) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 227830) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-09-12 |