| NPI | 1235199464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL Me 87532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 054488) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-01-27 |