| NPI | 1457514994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD442386) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT193209) |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2022-01-02 |