| NPI | 1386094811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.38209) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL39740) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-03-10 |