| NPI | 1689835118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: PA MT198719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051092) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT198719) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2014-06-18 |