| NPI | 1609897644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 47559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-100422) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-12-17 |