| NPI | 1124029301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD442035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 034397) |
| 208000000X Pediatrics (Licence: VA 034397) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2023-02-02 |