| NPI | 1558742320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.38330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38425) |
| 208000000X Pediatrics (Licence: SC 38425) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-07-18 |