| NPI | 1235159385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD437871) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 18655) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-09-04 |