| NPI | 1952472045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 158449) |
| 208000000X Pediatrics (Licence: FL ME106764) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-02-08 |