| NPI | 1225618374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD600004458) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101282144) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-09-07 |