| NPI | 1508833302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 35457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2002002144) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2026-06-04 |