| NPI | 1811286347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A145533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042367) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2018-03-17 |