| NPI | 1326354572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 10268) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125055701) |
| 208000000X Pediatrics (Licence: MN 106232) | |
| 208000000X Pediatrics (Licence: MN 55837) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2019-04-23 |