| NPI | 1942330188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD436494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60554444) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-04-25 |