| NPI | 1861049942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 33689) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.47967) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-08-08 |