| NPI | 1467534677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD31819) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101250770) |
| 208000000X Pediatrics (Licence: MD D0073206) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-11-16 |