| NPI | 1568601573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0042348) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD12526) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |