| NPI | 1790978674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD438883) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190294) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2015-04-08 |