| NPI | 1003077645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D84111) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DC MD041745) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-07-21 |