| NPI | 1598102865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD465458) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 76465) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2023-05-16 |