| NPI | 1821364456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD044159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 280181) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-06-30 |