| NPI | 1073710018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 13615) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 81940) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-03-12 |