| NPI | 1336403963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0079614) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116025149) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2015-10-18 |