| NPI | 1033347729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 250997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009017564) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2012-07-06 |