| NPI | 1508841636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD441483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101056496) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-10-07 |