| NPI | 1881833358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 267533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 003336) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2012-11-30 |