| NPI | 1992830194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD P20408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D67609) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-05-30 |