| NPI | 1255826467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0091949) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD488473) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2025-03-31 |