| NPI | 1386652154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD068616L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07097700) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-12-03 |