| NPI | 1194982843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD036895) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101254924) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2017-01-24 |