| NPI | 1619515384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019012551) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 209020428) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |