| NPI | 1700082393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD048825) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P7473) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-12-09 |