| NPI | 1114992344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD426154) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 236228-1) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-08-10 |