| NPI | 1295051167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-9186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10037147) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2022-07-21 |