| NPI | 1295106078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A45362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101263313) |
| 208000000X Pediatrics (Licence: MD D0028622) | |
| 208VP0000X (Licence: MD D0028622) | |
| 208VP0000X (Licence: DC MD043165) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2025-03-24 |