| NPI | 1548270556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ACN714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 14703) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-08-14 |