| NPI | 1447474721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201201318) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 884422) |
| 208000000X Pediatrics (Licence: PA MD434143) | |
| 208000000X Pediatrics (Licence: MA 239675) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-10-28 |