| NPI | 1396011607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0079654) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD043147) |
| 208000000X Pediatrics (Licence: VA 0101258808) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2021-06-25 |