| NPI | 1629481213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 29026) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206709) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-04-13 |