| NPI | 1780265629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0103400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD19875) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-08-04 |