| NPI | 1801969894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD424558) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DE C10008661) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-07-22 |