| NPI | 1952376485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD426159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD426159) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2021-07-30 |