| NPI | 1588843759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD429418) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08304200) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2017-02-08 |