| NPI | 1609308154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD600004276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0094424) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-07-03 |