| NPI | 1770161168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD500002947) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0100079) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-05-29 |