| NPI | 1659499085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD-044757-E) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD-044757-E) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-04-14 |