| NPI | 1245567940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD038449) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101245809) |
| 208000000X Pediatrics (Licence: MD D0069744) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2010-04-23 |