| NPI | 1316408511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD480158) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD210002035) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-01-05 |