| NPI | 1447357405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA61004) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD050611L) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-04-25 |