| NPI | 1639513559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DC MD045058) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: DC MD045058) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-09-02 |