| NPI | 1154328045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME163962) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036094762) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-11-21 |