| NPI | 1326258302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD436815) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188673) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-11-18 |