| NPI | 1629574108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T5225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.072891) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-09-30 |