| NPI | 1861855843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.38357) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 217910) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-06-08 |