| NPI | 1467661116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD00049248) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD423876) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-04-07 |