| NPI | 1689024606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101024630) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101022612) |
| 208000000X Pediatrics (Licence: MI 5315077006) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-07-25 |