| NPI | 1598150419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 70011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 61854) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-03-29 |