| NPI | 1144502006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: SC MD38518) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.36920) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL MD.36920) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: SC 38518) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2025-02-27 |