| NPI | 1518321512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT211394) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0006277) |
| 208000000X Pediatrics (Licence: PA MD466791) | |
| 208000000X Pediatrics (Licence: DE C7-0017590) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-06-24 |