| NPI | 1669602983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD445270) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT195011) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2013-05-14 |