| NPI | 1184776619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-121231) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 48954-020) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-08-20 |