| NPI | 1194968990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 301939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0073888) |
| 208000000X Pediatrics (Licence: DC MD042818) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2024-04-12 |