| NPI | 1972967354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD465909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0006183) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2019-03-27 |