| NPI | 1275951675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 14911) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.064725) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-07-21 |