| NPI | 1942657200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D87194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P32578) |
| 208000000X Pediatrics (Licence: VA 0101266401) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-09-10 |