| NPI | 1629658067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102209670) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD H0104955) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-09-30 |