| NPI | 1235198920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME145284) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ACN685) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2025-03-10 |