| NPI | 1588748917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L3399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006022072) |
| 208000000X Pediatrics (Licence: IL 036117015) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-02-05 |