| NPI | 1811055338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD436404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07933100) |
| 208000000X Pediatrics (Licence: PA MD436404) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2016-06-20 |