| NPI | 1871754374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 32289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-35203) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-01-11 |