| NPI | 1164448338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60037718) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-113280) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-12-04 |