| NPI | 1184288490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD500002924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 321638) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2024-07-09 |