| NPI | 1972521284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD472063) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA TMD004790) |
| 208000000X Pediatrics (Licence: NY 239363-1) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-01-12 |