| NPI | 1023695053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD500002804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301512318) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-08-02 |