| NPI | 1053708347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD048400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0090007) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-08-13 |