| NPI | 1447418561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD440235) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT191370) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2010-06-25 |