| NPI | 1982774188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD459470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 193867) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-11-08 |