| NPI | 1659834612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD210011682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 111975) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2026-08-18 |