| NPI | 1497384580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.173366) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.148730) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-08-05 |