| NPI | 1205828175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 35689) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD421575) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2021-06-29 |