| NPI | 1497843601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD476275) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2001-00323) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-01-16 |