| NPI | 1760988109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD482147) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 52-1542927) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-08-03 |