| NPI | 1437684164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS15151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL EDOH2015Z) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2021-09-24 |