| NPI | 1588086003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A 9695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A 9695) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-11-19 |