| NPI | 1346551876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT 197550) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q8411) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-09-17 |