| NPI | 1548754609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D91486) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301115139) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-01-03 |