| NPI | 1689623290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MI MR048168) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301048168) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-03-12 |