| NPI | 1942521133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT 198078) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 256058) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2017-08-18 |