| NPI | 1255535407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD433602) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT185728) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2010-04-02 |