| NPI | 1528206026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 269999) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT-190188) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2022-07-21 |