| NPI | 1801883384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD040747L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA MD76939) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2023-07-31 |