| NPI | 1184035578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 024452) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036141395) |
| 208000000X Pediatrics (Licence: WI 82725-20) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2025-09-02 |