| NPI | 1326453945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD045431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116027331) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |