| NPI | 1205136710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 53894) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.130989) |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2022-02-22 |