| NPI | 1932454097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 50494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 020746) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2018-02-27 |