| NPI | 1114909462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD441391) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04 31471) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2014-10-20 |