| NPI | 1376704304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.126154) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD442858) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2015-05-26 |