| NPI | 1780692665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 24408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 152610) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |