| NPI | 1255587986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 265542) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD038868) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2014-05-04 |