| NPI | 1619597069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD600003937) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD481044) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-07-05 |