| NPI | 1326026659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101261899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 49709) |
| 208000000X Pediatrics (Licence: NC 2010-01466) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-05-25 |