| NPI | 1184824955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A115516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 13770) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-01-31 |