| NPI | 1568844439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0066363) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 30601) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2024-08-05 |