| NPI | 1679863369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 35049) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036141158) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2026-01-06 |