| NPI | 1073964441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0097832) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD468821) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-07-05 |