| NPI | 1841638533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D83174) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT203904) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2022-06-23 |