| NPI | 1871151381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.147598) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045099) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-06-26 |