| NPI | 1104817535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101239757) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME93244) |
| 208000000X Pediatrics (Licence: MD D0073374) | |
| 208000000X Pediatrics (Licence: DC MDD038197) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2021-05-31 |