| NPI | 1942298245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD045204L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD045204L) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-10-06 |