| NPI | 1164467668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD459700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 070811) |
| 208000000X Pediatrics (Licence: MD D63517) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-21 |