| NPI | 1427502988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 284754-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD455664) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |