| NPI | 1164733440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036141017) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2010017748) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-09-08 |