| NPI | 1407899636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD431827) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NJ 25MA07860200) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-02-29 |