| NPI | 1700081346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201101747) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD428382) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2014-03-17 |