| NPI | 1770900219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD471593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288713) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2022-09-19 |