| NPI | 1578905030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD458930) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT204446) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-07-21 |