| NPI | 1962721092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD449045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT196373) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2013-08-07 |