| NPI | 1972658615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0050369) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD21204) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-06-28 |