| NPI | 1851667380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2015-02140) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 264842) |
| 208000000X Pediatrics (Licence: OR MD174941) | |
| 208000000X Pediatrics (Licence: WA MD60584128) | |
| 208000000X Pediatrics (Licence: PA MD455243) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-08-23 |