| NPI | 1144516766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q6906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL NA) |
| 208000000X Pediatrics (Licence: AZ 47150) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2016-02-23 |