| NPI | 1205494689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD210002032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT217778) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-02-07 |