| NPI | 1336527308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS019443) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT016541) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2018-09-13 |