| NPI | 1881627883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010028273) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 174690) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-07-29 |