| NPI | 1538457007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60410165) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125059151) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2025-04-10 |