| NPI | 1164872370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD479132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101265894) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2023-05-08 |