| NPI | 1437388733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD458976) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301094994) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2024-09-06 |