| NPI | 1477719946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD442640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT192422) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2015-03-20 |