| NPI | 1912927179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD451788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00041377) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-03-17 |