| NPI | 1508020348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A101625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D78871) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-06-19 |