| NPI | 1174625206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 64979) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036113068) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-02-04 |