| NPI | 1518973668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD051050L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD051050L) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-11-24 |