| NPI | 1609405299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.075901) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V2129) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-04-17 |