| NPI | 1144398561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D0039737) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DC MD20255) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-01-14 |