| NPI | 1467833400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 007549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A19204) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-01-03 |