| NPI | 1205223310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.152840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60836505) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2025-03-17 |