| NPI | 1497931463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2013023322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD036909) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2013-09-16 |