| NPI | 1861492449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101261526) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 194511-1) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2018-03-20 |