| NPI | 1639240807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: DC MD035009) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: DC MD81765) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-11-21 |