| NPI | 1770759698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D70788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116019438) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2013-10-28 |