| NPI | 1043734262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D96295) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT219930) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2023-07-14 |