| NPI | 1831238823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 42228) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2006-0347) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-05-11 |