| NPI | 1871522151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD426435) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2014-01689) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-07-21 |