| NPI | 1396937462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 53823) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT 190786) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2021-06-14 |