| NPI | 1780823336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q5352) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101017932) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2016-02-29 |