| NPI | 1720412786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 272020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD449847) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |