| NPI | 1164927778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX W2269) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.072332) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-04-08 |