| NPI | 1376956227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R4238) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-064937) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2022-08-10 |