| NPI | 1235366576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 57400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-056549) |
| Enumeration Date | 2009-06-13 |
| Last Update Date | 2012-08-02 |