| NPI | 1588963078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.120404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD451335) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2018-07-24 |