| NPI | 1205093622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS014680) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT-011590) |
| 208M00000X Hospitalist (Licence: PA OS014680) | |
| 208D00000X General Practice (Licence: PA OS014680) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2015-02-19 |