| NPI | 1144750670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 323664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213948) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-08-27 |