| NPI | 1457598815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 005478) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO1695) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 005478) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2025-10-24 |