| NPI | 1578748257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.126390) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q6718) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2016-01-15 |