| NPI | 1639223514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D57738) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101231614) |
| 208000000X Pediatrics (Licence: DC MD31843) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-06-24 |