| NPI | 1578837134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A124169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A124169) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2018-05-11 |