| NPI | 1669763033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD167846) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD167849) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-07-14 |