| NPI | 1508391913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD048200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0089829) |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2024-05-02 |