| NPI | 1568812089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0098155) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210839) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-10-11 |