| NPI | 1639340136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.120351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD440300) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2024-02-26 |