| NPI | 1013374651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101263031) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: WA 0116029479) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2022-08-10 |