| NPI | 1740509223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-01957) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 15559) |
| 208000000X Pediatrics (Licence: FL UO1658) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2023-09-27 |