| NPI | 1962852491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0094900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 39739) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-04-26 |