| NPI | 1609905132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D69647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD437293) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-01-08 |