| NPI | 1396939898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101248208) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 041894) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-04-05 |