| NPI | 1639187669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-094440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 33354020) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-03-19 |