| NPI | 1689826141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 18576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7152008-1205) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2021-07-29 |