| NPI | 1831764257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 328312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT222552) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-05-10 |