| NPI | 1982773537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 184319) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 029340) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |