| NPI | 1336148626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD026997E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA PAMD026997-E) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-05-14 |