| NPI | 1043282783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD-039396-Y) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0041989) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2025-09-08 |