| NPI | 1013044700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D41505) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD31948) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D41505) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: DC MD31948) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-16 |