| NPI | 1063585255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D42039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD18850) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-05-28 |