| NPI | 1720036817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 1299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 1299) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-05-21 |