| NPI | 1861630220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0076919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247940) |
| 208000000X Pediatrics (Licence: VA 0101255244) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2015-03-17 |