| NPI | 1104447218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.075864) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2023-08-03 |