| NPI | 1225285182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 63568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 29650) |
| 208000000X Pediatrics (Licence: FL TRN10322) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2024-03-19 |