| NPI | 1144367921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A89809) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI 19620) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-05-15 |