| NPI | 1982657193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME62700) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: FL ME62700) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-05-21 |