| NPI | 1659533693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD439971) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09432200) |
| 208000000X Pediatrics (Licence: PA MT191428) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-01-03 |