| NPI | 1588826549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.31069) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301092813) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-08-19 |