| NPI | 1932362456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.147305) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD442007) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-07-27 |