| NPI | 1831400589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME169247) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7697710-1205) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2025-06-23 |