| NPI | 1538729918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP614113290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.075048) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-04-26 |