| NPI | 1487628772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101231608) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101231608) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-12-05 |