| NPI | 1841375854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 115516-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 115516) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 115516-1) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-04-24 |