| NPI | 1740448463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD441028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190873) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2010-09-24 |