| NPI | 1194014985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 305214) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042275) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-04-03 |