| NPI | 1942469622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 281956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D71927) |
| 208000000X Pediatrics (Licence: CT 54695) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-11-18 |