| NPI | 1316467590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV DO2731) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125070797) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-07-15 |