| NPI | 1891182606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101273359) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 278549) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2022-01-10 |