| NPI | 1407823826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DC MD034646) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101237466) |
| 208D00000X General Practice (Licence: DE C10007571) | |
| 208000000X Pediatrics (Licence: DC MD034646) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2014-09-22 |