| NPI | 1114071362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0066893) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD037397) |
| 208000000X Pediatrics (Licence: VA 0101249444) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-01-10 |