| NPI | 1497905699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD443246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09385900) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2015-04-27 |