| NPI | 1053761841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD467254) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210448) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2021-07-15 |