| NPI | 1053372896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 228320) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD037796) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2009-12-11 |