| NPI | 1477512549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD025575E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA54799) |
| 208000000X Pediatrics (Licence: FL ME96913) | |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2011-06-06 |