| NPI | 1487816120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD040162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 002960) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2011-09-08 |