| NPI | 1477741213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD449120) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 003596) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2020-08-17 |