| NPI | 1578666921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 12353) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: PR 012353) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-08-20 |