| NPI | 1558588111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 26074) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 047936) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-09-04 |