| NPI | 1538470356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 279859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT013736) |
| 208000000X Pediatrics (Licence: MD H0075648) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2015-10-09 |