| NPI | 1356653422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD448056) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197160) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2013-05-13 |