| NPI | 1114187630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD445332) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA md445332) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2014-05-07 |