| NPI | 1386821536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101245374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 002165) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2022-02-18 |