| NPI | 1891741492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 064877) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2022-01868) |
| 208000000X Pediatrics (Licence: VA 0101235067) | |
| 208000000X Pediatrics (Licence: NC 208000000X) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-03-21 |