| NPI | 1346776044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-02925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301512692) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-07-30 |