| NPI | 1194166876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 39198) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN18607) |
| 208000000X Pediatrics (Licence: TX Q7591) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2022-05-24 |