| NPI | 1467747873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301507967) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042719) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-03-23 |