| NPI | 1063447266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD035007L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA03645300) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |