| NPI | 1124344148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0016686) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD041308) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-04-07 |