| NPI | 1740383538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD047409L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G83834) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-08-10 |