| NPI | 1750560983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 002927) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 002927) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2016-07-06 |