| NPI | 1760973416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MT222159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04242) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-06-23 |