| NPI | 1578979787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A149538) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.064653) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-07-01 |