| NPI | 1083816839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD446970) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI 13288) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2012-11-19 |