| NPI | 1235487984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD210001804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P3460) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2021-12-28 |