| NPI | 1447755616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101286542) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD200001282) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-08-04 |