| NPI | 1942390018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101264591) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD036324) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-10-01 |