| NPI | 1588950117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-41546) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-9185) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2014-11-12 |