| NPI | 1659634970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D79367) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT201164) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-08-28 |