| NPI | 1497919872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A11781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11781) |
| 208000000X Pediatrics (Licence: AZ R70090) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2023-10-18 |