| NPI | 1679646897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D42868) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD19982) |
| 208000000X Pediatrics (Licence: VA 0101058384) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-11-11 |