| NPI | 1982629994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD021732E) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MD021732E) |
| 208000000X Pediatrics (Licence: PA MD021732E) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-03-10 |