| NPI | 1013110980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0003823) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT 190803) |
| 208D00000X General Practice (Licence: PA MD439351) | |
| 208M00000X Hospitalist (Licence: PA MD439351) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2011-08-31 |