| NPI | 1255433942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 4444) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 4118) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-19 |