| NPI | 1194794529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD438986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06070400) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-07-25 |