| NPI | 1902068109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 74874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 237397) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2018-03-17 |