| NPI | 1043479157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD454246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247239) |
| 208000000X Pediatrics (Licence: NC 2009-00386) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2015-08-28 |