| NPI | 1093026593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 48114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72270) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2018-06-28 |