| NPI | 1659356343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 6196) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036108167) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-03-07 |