| NPI | 1679701403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD445350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT195712) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2017-02-03 |