| NPI | 1275761504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DC MD040612) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040612) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2013-12-16 |