| NPI | 1598179624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 277045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036142649) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-10-03 |