| NPI | 1972835692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A110868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A110868) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2018-11-19 |