| NPI | 1073040788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD048476) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0089662) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-07-04 |