| NPI | 1710045976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101237717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD035348) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |