| NPI | 1871624783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 15889) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: PR 15889) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |