| NPI | 1528018793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101237976) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200300127) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-06-13 |