| NPI | 1063497709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD462056) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD462056) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-04-05 |