| NPI | 1801855937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101239307) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD035705) |
| 208000000X Pediatrics (Licence: MA 228220) | |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2012-10-03 |