| NPI | 1699160721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD MD046127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA AH1918018-6781) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2018-09-10 |