| NPI | 1720096233 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD056361L) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD056361L) | 
| Enumeration Date | 2006-08-03 | 
| Last Update Date | 2013-04-16 |