| NPI | 1578858460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT199567) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD450860) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2021-08-03 |