| NPI | 1386867182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0006455) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0006455) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-03-23 |