| NPI | 1598912487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD035549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A107537) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2015-03-27 |