| NPI | 1609004365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 21849) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2227) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-06-07 |