| NPI | 1548234396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD041778L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD041778L) |
| 208000000X Pediatrics (Licence: PA MD041778) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2021-09-14 |