| NPI | 1336287374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D57933) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD31814) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-06-22 |