| NPI | 1982794152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 221594) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 221594) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-11-05 |