| NPI | 1285650200 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD-08233R) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 08233R) | 
| Enumeration Date | 2006-07-14 | 
| Last Update Date | 2021-03-04 |