| NPI | 1841239779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 73195) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 224899) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-06-20 |