| NPI | 1982912481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 247181) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 925925) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2011-07-11 |