| NPI | 1770552309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 1770552309) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 190507) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-05-12 |