| NPI | 1851472732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 054736) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 232899) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-01-15 |