| NPI | 1699936229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD442900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 251485) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2013-04-18 |