| NPI | 1396902110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME147893) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09944600) |
| 208000000X Pediatrics (Licence: DC MD038690) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-10-07 |