| NPI | 1457518169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 281916) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 253274) |
| 208000000X Pediatrics (Licence: PA MT188257) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-09-15 |