| NPI | 1902223860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD045114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D83231) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-07-24 |