| NPI | 1093709743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PR 10111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 10111) |
| 174400000X Specialist (Licence: PR 10111) | |
| 171100000X Acupuncturist (Licence: PR 10111) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-05-29 |