| NPI | 1649329053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD437251) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN10230) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-10-05 |