| NPI | 1215951330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD071947L) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MD071947L) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-07-13 |