| NPI | 1295198687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 90022) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 38506) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-12-18 |