| NPI | 1003854530 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301066862)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-147114)  | 
| Enumeration Date | 2006-06-04 | 
| Last Update Date | 2025-07-15 |