| NPI | 1225073422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME61745) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME61745) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-05-08 |