| NPI | 1912184383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A98181) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 248860) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-11-29 |