| NPI | 1215170915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A13490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.056618) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-04-23 |