| NPI | 1235330986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS11026) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO1626) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-02-15 |