| NPI | 1144255613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0065467) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101050821) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-09-07 |