| NPI | 1871739573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 251477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 113230) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2015-04-09 |