| NPI | 1154579175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N5952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036120951) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2010-09-30 |