| NPI | 1659733483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD477717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09136) |
| 208000000X Pediatrics (Licence: MO 2016022467) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-09-08 |