| NPI | 1801042692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D64427) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD30996) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |