| NPI | 1093153405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD457832) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT203779) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2016-08-04 |