| NPI | 1225479983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS16064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO3605) |
| 208000000X Pediatrics (Licence: MN 60736) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2023-03-30 |