| NPI | 1578589784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD222239) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A91978) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-01-10 |