| NPI | 1083870935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 54894) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.126653) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2012-08-02 |