| NPI | 1801010491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 241682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 65254) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-03-28 |