| NPI | 1235425604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD042548) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042548) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2018-11-20 |