| NPI | 1083175111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA ML60951854) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11585600) |
| 208000000X Pediatrics (Licence: PA MD479294) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-09-07 |