| NPI | 1740848936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0093944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT217335) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-06-15 |