| NPI | 1922086628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0047734) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0047734) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2024-11-01 |