| NPI | 1952963977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X (Licence: PA MD484962) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019019535) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2024-06-21 |