| NPI | 1245541945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-76417) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102202891) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2021-05-21 |