| NPI | 1902952906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 14003) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD-026612-E) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-07-22 |