| NPI | 1336396589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 049673) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT193487) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2011-08-25 |