| NPI | 1144600180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD464419) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208403) |
| 208000000X Pediatrics (Licence: NC 2022-00569) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-03-01 |