| NPI | 1891747465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 162421) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 162421) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 162421) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-09 |