| NPI | 1316237589 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD600001675) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101279758) | 
| Enumeration Date | 2011-04-08 | 
| Last Update Date | 2024-08-26 |