| NPI | 1124234521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD433867) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT183629) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-03-08 |