| NPI | 1841551751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD465981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-061132) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2019-01-10 |