| NPI | 1033119318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD461312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101250702) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2025-09-16 |