| NPI | 1538621982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 71593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125074103) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-05-04 |