| NPI | 1922235316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD474609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042.0013785) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2022-02-11 |