| NPI | 1003891904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D45754) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD20650) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-08 |