| NPI | 1326038845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD442661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD442661) |
| 208000000X Pediatrics (Licence: CA G87803) | |
| 208000000X Pediatrics (Licence: PA MD442661) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2021-07-27 |