| NPI | 1982772315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD30420) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0054988) |
| 208000000X Pediatrics (Licence: VA 0101249692) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-02-14 |