| NPI | 1811374044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A169203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD046108) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-07-28 |