| NPI | 1598967697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 206293) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01136) |
| 208000000X Pediatrics (Licence: PA MD440067) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-11-14 |