| NPI | 1447544309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C179032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 292586) |
| 208000000X Pediatrics (Licence: PA MD451458) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-12-08 |