| NPI | 1376171918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT230453) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MD D0097002) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-08-11 |