| NPI | 1033503958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 75000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-066722) |
| 208000000X Pediatrics (Licence: IL 036145519) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2024-04-23 |