| NPI | 1538223250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D58958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD33169) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-06-24 |