| NPI | 1669621363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60836518) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08363400) |
| 208000000X Pediatrics (Licence: PA MD436251) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2021-04-16 |