| NPI | 1184607269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME105201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036090305) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2014-04-30 |