| NPI | 1669520979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0051007) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD12473) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-05-22 |