| NPI | 1821088865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS13116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 187098) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2019-03-18 |