| NPI | 1316567118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A186164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.076270) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-03-07 |