| NPI | 1134571185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60948563) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-069555) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2019-08-08 |