| NPI | 1336879170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.080848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.080848) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |