| NPI | 1659515039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 61050) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040660) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2018-12-26 |