| NPI | 1144311879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD5351) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: HI MD5351) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-02-23 |