| NPI | 1174544399 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101222832)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0055310)  | 
| Enumeration Date | 2006-07-22 | 
| Last Update Date | 2024-07-19 |