| NPI | 1396035820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD454964) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 26014) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2015-06-25 |