| NPI | 1215956800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 52224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 049598) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-05-07 |