| NPI | 1285720581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101270178) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DC MD035544) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-03-25 |