| NPI | 1013441450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD H0102973) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 291609) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-11-14 |