| NPI | 1487949327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD451186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT199555) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2021-10-14 |