| NPI | 1356635502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD451137) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT198926) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2014-07-09 |