| NPI | 1154632339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102202771) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC DO034342) |
| 208000000X Pediatrics (Licence: NY 250176) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-05-23 |