| NPI | 1114211075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61248454) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042299) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-04-04 |