| NPI | 1649439977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD445180) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 203832) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-05-13 |