| NPI | 1609080761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0093503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 23678) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-05-12 |