| NPI | 1053305003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 23256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-065503) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2023-03-07 |