| NPI | 1336108109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-02907) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 34596) |
| 208000000X Pediatrics (Licence: VA 0101231358) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-05-17 |