| NPI | 1093968570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A130372) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101247388) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2022-06-20 |