| NPI | 1376848358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P2281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08745400) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2012-12-11 |