| NPI | 1164590865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0065007) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD036301) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-09-21 |