| NPI | 1467831404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA Os021364) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0005907) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2022-10-21 |