| NPI | 1780996884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D76041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD038673) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2015-11-02 |