| NPI | 1184897761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD33452) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD R0044694) |
| 208000000X Pediatrics (Licence: CA G84272) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |