| NPI | 1265826838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.146382) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.026614) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2023-12-04 |