| NPI | 1073950762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD457685) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT203899) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-06-29 |