| NPI | 1730397696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0053554) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 12505) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-08-13 |