| NPI | 1407013246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452160) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08740500) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2014-08-12 |