| NPI | 1477945335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.071696) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.155558) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2021-03-23 |