| NPI | 1508037763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 245266) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036119638) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2010-11-08 |