| NPI | 1861509564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD033852E) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA05940600) |
| 208000000X Pediatrics (Licence: PA MD033852E) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-02-19 |