| NPI | 1740392851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD037533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D68159) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-09-27 |