| NPI | 1306953419 |
|---|---|
| Doing Business As | |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 37755) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 36090947) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-10-17 |