| NPI | 1538519400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN .) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.068385) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-01-06 |