| NPI | 1457914921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD482534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD482534) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-09-08 |