| NPI | 1881034825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 007035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R2269) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2021-06-30 |