| NPI | 1407376122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036152955) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.140715) |
| 208000000X Pediatrics (Licence: PA MD479282) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-11-25 |