| NPI | 1245610716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD464211) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208878) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2018-07-30 |