| NPI | 1568811347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD472213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A160089) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-12-15 |