| NPI | 1336161504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD026588E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD-026588-E) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-03-11 |