| NPI | 1376537142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 66033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-109641) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-10-23 |