| NPI | 1790914448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD479397) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040707) |
| 208000000X Pediatrics (Licence: PA MD479397) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2024-02-06 |