| NPI | 1720110133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0069093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0003526) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2022-05-13 |