| NPI | 1306093646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2010-01892) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 166908) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2021-02-03 |