| NPI | 1891011888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD459922) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09269000) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2017-04-18 |