| NPI | 1265057913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA MD210011898) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116033961) |
| 208000000X Pediatrics (Licence: DC 210011898) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-07-15 |