| NPI | 1376835496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.34423) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101234585) |
| 208000000X Pediatrics (Licence: IL 036.127903) | |
| 208000000X Pediatrics (Licence: OH 35097934) | |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2018-01-22 |