| NPI | 1073172359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101275203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116032971) |
| 208000000X Pediatrics (Licence: MD D0094414) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-08-17 |