| NPI | 1548729460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 87785) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.074820) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-08-11 |