| NPI | 1790853604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0060270) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: DC MD037045) |
| 208000000X Pediatrics (Licence: DC MD037045) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-08-31 |