| NPI | 1720373426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D77454) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042217) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2020-11-17 |