| NPI | 1417002809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME109716) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P 21397) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-08-13 |