| NPI | 1194210278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125072426) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.141478) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-12-17 |