| NPI | 1871587998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ AZ10737) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ AZ 10737) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-11-16 |