| NPI | 1841649225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2024-01770) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 58194) |
| 208000000X Pediatrics (Licence: PA MT210657) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-08-01 |