| NPI | 1356633515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD449605) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN#15918) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2013-09-19 |