| NPI | 1043403108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: DC MD 038304) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: MD D0074672) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-12-03 |