| NPI | 1942464060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2012003226) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008015402) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2024-02-26 |