| NPI | 1477783157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D80030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT194490) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2015-08-28 |