| NPI | 1346507845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M14443) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8803485-1205) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-09-20 |