| NPI | 1275850224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD464271) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101255957) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2018-07-24 |