| NPI | 1225295090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD462515) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 252524) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-03-22 |