| NPI | 1225204464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD037670) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101840524) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-10-23 |