| NPI | 1730528746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 18787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT205270) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-08-21 |