| NPI | 1760518682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D54978) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD31316) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-12-02 |