| NPI | 1750399663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 230840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 043158) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-03-17 |