| NPI | 1205939261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD068867L) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MD068867L) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2025-10-11 |