| NPI | 1538422845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 283344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT201624) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2016-07-28 |