| NPI | 1275988982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101276265) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0088144) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2024-05-27 |