| NPI | 1548452733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 49245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND 11660) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-04-29 |