| NPI | 1447412184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 003071) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 31458) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-03-07 |