| NPI | 1619998242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 26994) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-079834) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-12-21 |