| NPI | 1639119001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD429812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 220017) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-05-22 |