| NPI | 1437656444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD478920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 310460) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2022-11-28 |