| NPI | 1578727590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD453500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 53777) |
| 208000000X Pediatrics (Licence: NM MD2012-0620) | |
| 208000000X Pediatrics (Licence: NY 291442) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-06-29 |