| NPI | 1700221322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1020946) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD044068) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2024-10-24 |