| NPI | 1881816866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DC MD038714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190203) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-06-11 |