| NPI | 1376118992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT222464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD484178) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-05-18 |