| NPI | 1891823886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2017042153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0068953) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-03-17 |