| NPI | 1619083706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0037768) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC 17413) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-09 |