| NPI | 1275579013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD421928) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09457000) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-07-10 |