| NPI | 1376954420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD454925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 39020000X) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2018-01-01 |