| NPI | 1598146110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101264288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD045980) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2022-11-09 |