| NPI | 1598121410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D88427) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101041525) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-09-16 |