| NPI | 1083875066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD185532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 49456) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2023-01-25 |