| NPI | 1750615597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0085361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101249401) |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2022-07-07 |