| NPI | 1851705099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: IA MD-45652) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105315) |
| 208000000X Pediatrics (Licence: IA MD-45652) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2018-10-31 |