| NPI | 1629283593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD071410L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25 MA074185) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2016-02-17 |