| NPI | 1598332926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2024-01029) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 12907) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2024-05-07 |