| NPI | 1750727616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 266491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT204254) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2016-06-27 |