| NPI | 1063585321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101236466) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD035456) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-01-08 |