| NPI | 1891952081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D72757) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA GETP.TUL.Ped) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-11-02 |