| NPI | 1629243589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 05-36626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007018757) |
| 208000000X Pediatrics (Licence: AR E16258) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-09-03 |