| NPI | 1376036673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD H0091624) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT018607) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2021-11-11 |