| NPI | 1093918773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD446931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT191144) |
| 208000000X Pediatrics (Licence: DE C7-00003808) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2013-05-21 |