| NPI | 1710116926 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD042590) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D78587) | 
| Enumeration Date | 2009-07-09 | 
| Last Update Date | 2014-10-28 |