| NPI | 1376877969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD446321) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: PA MT195277) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2013-05-28 |