| NPI | 1275597775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD09585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD09589) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2022-08-31 |