| NPI | 1295034890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036133646) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.099406) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2013-12-03 |