| NPI | 1891701579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 226934) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 226934-1) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-03-20 |