| NPI | 1114956885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036153864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-087536) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-10-06 |