| NPI | 1518042886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 40626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY tp810) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-03-17 |