| NPI | 1669001012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD600001834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD480864) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-07-29 |