| NPI | 1679893382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA md439295) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD439295) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-05-21 |