| NPI | 1235329491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD438983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190335) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-12-15 |