| NPI | 1609324516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 321145) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.075490) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2023-07-24 |