| NPI | 1851852420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME168446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD210002068) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-11-04 |