| NPI | 1598341026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD 7231) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 7231) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-25 |