| NPI | 1235798943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT218202) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 72559) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-07-09 |