| NPI | 1245689447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD466409) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210729) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-04-13 |