| NPI | 1669886669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 56619) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT207080) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-07-21 |