| NPI | 1295720068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD440034) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 23109) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-10-06 |