| NPI | 1386271013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0100071) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 2910) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-04-15 |