| NPI | 1164802518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD471066) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD046152) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-08-18 |