| NPI | 1336436211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS12798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB08954300) |
| 208000000X Pediatrics (Licence: PA OS015663) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2015-05-04 |