| NPI | 1932555018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2019-00639) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 218108) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2020-01-15 |