| NPI | 1033162300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.09880R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 16387) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-01-05 |