| NPI | 1801867668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 14576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200500963) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2016-03-23 |