| NPI | 1881852739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 253389) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188767) |
| 208000000X Pediatrics (Licence: CA A116755) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2013-07-30 |