| NPI | 1043374432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD019295E) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD019295E) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-01-27 |