| NPI | 1639173313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD038275) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101241790) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2013-11-21 |