| NPI | 1982793667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD431800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA70055) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-05-04 |