| NPI | 1003854530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-147114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301066862) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-03-23 |