| 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 |