| NPI | 1932634326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D97111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101268270) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-07-05 |