| NPI | 1366997496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T7444) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.069307) |
| 208000000X Pediatrics (Licence: WI 71407-20) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-07-31 |